| NPI | 1649969171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 95568) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC PUSC-N4M50N) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2026-07-24 |